Physicians Surgery Center at Good Samaritan, LLC
NPI #1285980151 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1285980151
- Entity Type
- Organization
- Organization Name
- Physicians Surgery Center at Good Samaritan, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 30, 2012
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 2 GOOD SAMARITAN WAY
- Address 2
- STE 200
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2476
- Phone
- (618) 899-5703
Authorized Official
- Name
- JOON AHN, MD
- Title
- AUTHORIZED OFFICIAL - OWNER
- Phone
- (618) 899-5703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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